In the first U.S. Senate debate and vote to set Congress on a repeal pathway, numerous Senators cautioned—including a number of Republican officials—that an ACA repeal without replacement is not an option. Agreeing on a replacement plan, they argued, will likely take time. Without naming every benefit of the ACA to Texans, this document helps explain why a full repeal would create human, budgetary, and political catastrophe for the country.

The president-elect and members of Congress have proposed enacting massive changes to the Medicaid program that would permanently alter the structure and financing of the program and could effectively end the guarantee of Medicaid coverage for all those who qualify. These changes undermine the cornerstone of our health care safety net and will have devastating impacts on the ability of low-income populations to access health care services.

The president-elect and members of Congress have proposed enacting massive changes to the Medicaid program that would permanently alter the structure and financing of the program and could effectively end the guarantee of Medicaid coverage for all those who qualify. These changes undermine the cornerstone of our health care safety net and will have devastating impacts on the ability of low-income populations to access health care services.

The president-elect and members of Congress have proposed enacting massive changes to the Medicaid program that would permanently alter the structure and financing of the program and could effectively end the guarantee of Medicaid coverage for all those who qualify. These changes undermine the cornerstone of our health care safety net and will have devastating impacts on the ability of low-income populations to access health care services.

This paper was commissioned by the Texas Alliance for Health Care. The Texas Alliance for Health Care was created as a resource to lawmakers in anticipation of changes in the Affordable Care Act. The Alliance is a diversi ed group of stakeholders from private and public sectors representing hospitals, health plans, community clinics, other providers, business and public health. Its goal is to provide well thought out research that will inform and offer guidance as to the impact of proposed changes in the nance and delivery of healthcare in Texas.